MAT VENTURES LLC NPI 1467089607

NPI Information

NPI: 1467089607
Provider Name: MAT VENTURES LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
8388 S WASATCH BLVD
COTTONWOOD HEIGHTS, UT
ZIP 84121
Phone: (801) 558-6564
Get Directions

MAT VENTURES LLC is an addiction medicine family medicine in Cottonwood Heights, UT. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. MAT VENTURES LLC NPI is 1467089607. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8388 S WASATCH BLVD
COTTONWOOD HEIGHTS, UT
ZIP 84121-075
Phone: (801) 558-6564

The provider's authorized official is Corey Markisich .
The authorized official title is Owner and has the following contact phone number (801) 558-6564.

The enumeration date for this NPI number is 3/26/2020 and was last updated on 12/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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